Please submit this form with your deposit to hold your space.
If this person is unavailable, please notify:
ALLERGIESInclude medicine, foods, animals, insect bites/stings, environment (dust, pollen, etc.)
Please list all prescription, over the counter, and natural medications you are taking.
This trip may include vigorous activity, extended hiking, and other physically and mentally demanding exertion in isolated areas without immediate access to medical facilities, medical providers, or means of contacting rescue or medical personnel.